BILL ANALYSIS                                                                                                                                                                                                    Ó




                   Senate Appropriations Committee Fiscal Summary
                            Senator Kevin de León, Chair


          AB 174 (Bonta) - Public school health centers.
          
          Amended: June 24, 2013          Policy Vote: Health 7-2
          Urgency: No                     Mandate: Yes
          Hearing Date: August 12, 2013                           
          Consultant: Brendan McCarthy    
          
          This bill meets the criteria for referral to the Suspense File.
          
          
          Bill Summary: AB 174 would require the Department of Public  
          Health to create a pilot grant program in Alameda County to  
          provide funding for the mental health needs of students impacted  
          by trauma.

          Fiscal Impact: 
              Unknown costs to provide grants (General Fund, federal  
              funds, or private funds). The bill specifies that the  
              program would be limited to a one-year pilot project in  
              Alameda County at up to ten facilities. However, the bill  
              does not specify the total amount of funding or the  
              potential fund source.

              Unknown costs to administer the program (General Fund,  
              federal funds, or private funds). Typically, the cost to  
              administer a grant program is about five percent of total  
              grant spending.  The bill authorizes the Department of  
              Public Health to delegate administrative responsibilities to  
              Alameda County, creating a reimbursable state mandate. To  
              the extent that Alameda County incurs costs to administer  
              the program, those costs would most likely be reimbursed  
              from the General Fund unless another fund source is  
              identified and provided to Alameda County.

          Background: Under current law, the Department of Public Health  
          is required to establish a Public School Health Center Support  
          Program to support the establishment of school health centers.  
          The Department is also required to establish a grant program to  
          provide funding to school health centers. To date, no funding  
          has been made available and no program activities have taken  
          place.









          AB 174 (Bonta)
          Page 1


          Proposed Law: AB 174 would require the Department of Public  
          Health to create a pilot grant program in Alameda County to  
          provide funding for the mental health needs of students impacted  
          by trauma.

          Specific provisions of the bill would:
              Authorize the Department to delegate administrative duties  
              to Alameda County;
              Authorize the grant program only for the 2015-16 school  
              year;
              Require a review of the program;
              Specify the allowable uses of grant funds (generally for  
              counseling, outreach and education, violence prevention  
              programs, and other uses);
              Specify grant funding criteria;
              Sunset the program on January 1, 2019.

          Staff Comments: As noted above, the Department of Public Health  
          is currently required to establish a program to provide  
          technical assistance and grant funds for public school health  
          centers. To date, no funding has been authorized and this  
          program has not been implemented.

          By authorizing the Department of Public Health to delegate  
          administrative duties to Alameda County, the bill would create a  
          reimbursable state mandate.

          Recommended Amendments: Staff recommends the bill be amended to  
          delete the authority for the Department of Public Health to  
          delegate administrative duties to Alameda County.